【摘要】 目的 探讨葡萄膜炎并发白内障虹膜后粘连小瞳孔状态下手术技巧、时机及疗效。 方法 对31例35眼葡萄膜炎并发性白内障小瞳孔患者，在葡萄膜炎控制稳定，炎症消退3个月后，借助粘弹剂分离虹膜后粘连或施行虹膜环型切除，再行白内障超声乳化或囊外摘出及人工晶体植入。 结果 术后32眼(91%)视力较术前提高，其中≥0.5者13眼，0.3～0.5者12眼，0.1～0.3者7眼。瞳孔圆形或椭圆形。术后眼压均控制在正常范围。 结论 葡萄膜炎并发性白内障虹膜后粘连，可使瞳孔扩大成圆形或椭圆型，有利于实施白内障超声乳化或囊外摘除，且瞳孔括约肌不受损伤，避免术后眩光，可获得良好视力，术中、术后并发症减少。

    关键词 葡萄膜炎 并发性白内障 小瞳孔 人工晶体

    Surgical treatment of complicated cataract in uveitis

    Huang Ruihua，Wang Meifang，Wang Jinfang，et al.

    Department of Ophthalmology，Baoshan Hospital Affiliated to Shanghai First People's Hospital，Shanghai200940.

    【Abstract】 Objective To investigate the surgical mangement and effects in uveitis complicatecd cataract with a small synechia pupil.Methods 35eyes of31cases of cataract with small pupil，separating the posterior synechia with the help of viscoelastics or papillary collar resection of iris had firstly been performed ......